Job Search Results for healthcare payer

Remote Claims Business Analyst

Looking for a detail-oriented and analytical Business Analyst with strong experience in healthcare claims and workflow management tools like Salesforce or ServiceNow. The ideal candidate will bridge... More the gap between business needs and technical solutions, focusing on optimizing claims workflows, ensuring regulatory compliance, and improving operational efficiency within healthcare systems. Key Responsibilities: - Collaborate with stakeholders to gather and document business and system requirements.- Translate business needs into functional specifications for development teams.- Support implementation of new claims systems.We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.Less

Sales Development Representative

A client of Insight Global is hiring a Remote Sales Development Representative (SDR). Our client is a fast-growing health technology company on a mission to eliminate one of the most painful... More bottlenecks in cancer care delivery: prior authorization. Backed by NSF innovation funding, clinical advisors, and technologists passionate about improving healthcare, they partner with rural oncology clinics to streamline workflows and give office administrators their time back?so clinics can focus on what matters most: patients.Their solution ensures prior authorization forms are generated correctly the first time, reducing administrative burden and accelerating care.The Sales Development Representative (SDR) will be responsible for lead generation, identifying and qualifying clinics and healthcare organizations that align with the company?s mission and solution. This is an exciting opportunity to join a company at the forefront of healthcare innovation and make a tangible impact on cancer care delivery.Responsibilities- Research and identify potential leads within rural oncology clinics and other healthcare organizations.- Build and maintain a pipeline of qualified prospects through outbound outreach (email, phone, LinkedIn).- Engage with decision-makers to understand their pain points and introduce the solution.- Schedule discovery calls and demos for the sales team.- Collaborate with marketing and sales leadership to refine messaging and targeting strategies.- Track and report on lead generation activities using CRM tools.We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.Less

Epic Tapestry Analyst

An employer in the Southern California area is seeking two Epic Tapestry Analysts. The first Epic Tapestry Analyst will be responsible for the build aspect of Epic Tapestry, specifically designing... More the system and building components needed to enable incoming capitation functionality within the platform. (Enrollment Filer and Incoming Capitation R&R within the Tapestry module) This is a new build for the organization, and the role involves creating foundational elements to support capitation processes. Day to day duties include the following: lead the design, implementation, and maintenance of EDI workflows within Epic Tapestry, configure and support Enrollment File interfaces and Incoming Capitation R&R processes, troubleshoot and resolve EDI-related issues, including mapping errors, data discrepancies, and transmission failures, and maintain documentation of workflows, configurations, and operational procedures. They will collaborate with internal stakeholders and external payers to ensure timely and accurate data transmission, participate in testing, validation, and go-live support for new and updated interfaces, and will ensure compliance with HIPAA regulations related to health IT and data exchange. The Analyst will work alongside 2 internal resources to help them build and design the capitation functionality. This opportunity is a 6-month contract to hire opportunity. The second Epic Tapestry Analyst will be focusing on advanced build work but requires deeper technical specialization, including LPP extensions, custom cache development, custom rules implementation for configuration, and providing guidance. The key difference is that the second role demands experience implementing functionality in a live organizational environment, whereas the first role may not have that implementation background but brings extensive experience in enrollment filer build. The second Analyst position is a 6 month contract with possible extensions. Both positions will be fully remote, preferably sitting in California, but can also sit in the following states: Arizona, Illinois, Maryland, Michigan, Montana, Nevada, North Carolina, Texas, Utah, Washington & Wisconsin.We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.Less